电子计算机断层扫描引导下医用胶及肺结节定位针定位在肺结节患者电视胸腔镜手术中的应用效果  

Effect of medical adhesive and pulmonary nodule localisation needle positioning guided by computed tomography in patients with pulmonary nodules during televised thoracoscopic surgical procedures

作　　者：田钦勇 林益民[1] 方艺漳 沈斐敏 张奕[1] TIAN Qin-yong;LIN Yi-min;FANG Yi-zhang;SHEN Fei-min;ZHANG Yi(Department of Thoracic and Cardiac Surgery,Zhangzhou Municipal Hospital of Fujian Province,Zhangzhou,Fujian 363000,China;不详)

机构地区：[1]福建省漳州市医院胸心外科,福建363000

出　　处：《慢性病学杂志》2024年第12期1780-1783,共4页Chronic Pathematology Journal

摘　　要：目的 探讨电子计算机断层扫描(computed tomography,CT)引导下医用胶及肺结节定位针定位在肺结节患者电视胸腔镜手术(video-assisted thoracic surgery,VATS)中的应用效果。方法 回顾性分析福建省漳州市医院2021年5月—2023年12月收治的97例肺结节患者的病历资料,患者均行VATS治疗。根据术前定位方式的不同分为医用胶组(n=48)与定位针组(n=49),医用胶组行CT引导下医用胶定位,定位针组行CT引导下肺结节定位针定位,比较两组的定位成功率、定位及手术用时和并发症发生率。结果 两组的定位成功率比较,差异无统计学意义(P>0.05);与医用胶组比较,定位针组的定位用时较长(t=5.541,P<0.05);两组的手术用时比较,差异无统计学意义(P>0.05);医用胶组的出血发生率、气胸发生率较定位针组低,刺激性咳嗽发生率较定位针组高(χ^(2)=7.648、3.911、18.322,均P<0.05);组间胸膜反应的发生率比较,差异无统计学意义(P>0.05)。结论 CT引导下采用医用胶及肺结节定位针定位在肺结节患者VATS术中均可获得满意效果,有助于提高手术切除的准确率,但医用胶定位患者的刺激性咳嗽发生率较高,定位针定位患者的出血、气胸的发生率较高,临床需根据患者的实际情况选择合适的定位方式。Objective To explore the application effect of medical glue and pulmonary nodule localization needle guided by computed tomography(CT)in video-assisted thoracic surgery(VATS)for patients with pulmonary nodules.Methods Medical record data of 97 patients with pulmonary nodules admitted to Zhangzhou Municipal Hospital of Fujian Province from May 2021 to December 2023 were collected,all of whom underwent VATS treatment.According to the different preoperative positioning methods,they were divided into a medical adhesive group(n=48)and a positioning needle group(n=49).The medical adhesive group underwent CT guided medical glue positioning,while the positioning needle group underwent CT guided pulmonary nodule positioning.The success rate of positioning,surgical time,and incidence of complications were compared between the two groups.Results There was no significant difference in the success rate of localization between the two groups(P>0.05);Compared with the medical adhesive group,the positioning needle group had a longer positioning time(t=5.541,P<0.05),and there was no significant difference in surgical time between the two groups(P>0.05);The incidence of bleeding and pneumothorax in the medical adhesive group was lower than that in the positioning needle group,and the incidence of irritating cough was higher than that in the positioning needle group(χ^(2)=7.648,3.911,18.322,both P<0.05).There was no significant difference in the incidence of pleural reactions between groups(P>0.05).Conclusions CT guided medical adhesive and pulmonary nodule positioning needle can achieve satisfactory results in VATS surgery for pulmonary nodule patients,which helps to improve surgical resection accuracy.However,medical adhesive positioning has a higher incidence of irritating cough in patients,while positioning needle positioning has a higher incidence of bleeding and pneumothorax.Therefore,suitable positioning methods should be selected based on the actual situation of patients in clinical practice.

关 键 词：肺结节 电子计算机断层扫描引导 医用胶 定位针 电视胸腔镜手术 

分 类 号：R655.3[医药卫生—外科学]